<?

if (isset($_GET['issuetype'])) {
	if ($_GET['issuetype'] == "correction") {
		$commentText = "[Field] ____ [Current Data] ____ [Corrected Data] ____ 
[Field] ____ [Current Data] ____ [Corrected Data] ____ 
[Field] ____ [Current Data] ____ [Corrected Data] ____ 
[Field] ____ [Current Data] ____ [Corrected Data] ____ 
[Field] ____ [Current Data] ____ [Corrected Data] ____ 
[Field] ____ [Current Data] ____ [Corrected Data] ____";
		
		$commentHelp = "Please fill in the blanks.<br /><br />Example: <br />[Field] Client ID Number <br />[Current Data] 321-654-987 <br />[Corrected Data] 321-654-987C";
	}
}
else {
	$commentText="";
	$commentHelp="";
}

?>

<script language="javascript">
<!-----------------------Validation OF Date---------------------------------------------------------->
var isNav4 = false, isNav5 = false, isIE4 = false
var strSeperator = "/"; 
// If you are using any Java validation on the back side you will want to use the / because 
// Java date validations do not recognize the dash as a valid date separator.
var vDateType = 3; // Global value for type of date format
//                1 = mm/dd/yyyy
//                2 = yyyy/dd/mm  (Unable to do date check at this time)
//                3 = dd/mm/yyyy
var vYearType = 4; //Set to 2 or 4 for number of digits in the year for Netscape
var vYearLength = 2; // Set to 4 if you want to force the user to enter 4 digits for the year before validating.
var err = 0; // Set the error code to a default of zero
if(navigator.appName == "Netscape") {
if (navigator.appVersion < "5") {
isNav4 = true;
isNav5 = false;
}
else
if (navigator.appVersion > "4") {
isNav4 = false;
isNav5 = true;
   }
}
else {
isIE4 = true;
}

function DateFormat(vDateName, vDateValue, e, dateCheck, dateType) {
vDateType = dateType;
// vDateName = object name
// vDateValue = value in the field being checked
// e = event
// dateCheck 
// True  = Verify that the vDateValue is a valid date
// False = Format values being entered into vDateValue only
// vDateType
// 1 = mm/dd/yyyy
// 2 = yyyy/mm/dd
// 3 = dd/mm/yyyy
//Enter a tilde sign for the first number and you can check the variable information.
if (vDateValue == "~") {
alert("AppVersion = "+navigator.appVersion+" \nNav. 4 Version = "+isNav4+" \nNav. 5 Version = "+isNav5+" \nIE Version = "+isIE4+" \nYear Type = "+vYearType+" \nDate Type = "+vDateType+" \nSeparator = "+strSeperator);
vDateName.value = "";
vDateName.focus();
return true;
}
var whichCode = (window.Event) ? e.which : e.keyCode;
// Check to see if a seperator is already present.
// bypass the date if a seperator is present and the length greater than 8
if (vDateValue.length > 8 && isNav4) {
if ((vDateValue.indexOf("-") >= 1) || (vDateValue.indexOf("/") >= 1))
return true;
}
//Eliminate all the ASCII codes that are not valid
var alphaCheck = " abcdefghijklmnopqrstuvwxyzABCDEFGHIJKLMNOPQRSTUVWXYZ/-";
if (alphaCheck.indexOf(vDateValue) >= 1) {
if (isNav4) {
vDateName.value = "";
vDateName.focus();
vDateName.select();
return false;
}
else {
vDateName.value = vDateName.value.substr(0, (vDateValue.length-1));
return false;
   }
}
if (whichCode == 8) //Ignore the Netscape value for backspace. IE has no value
return false;
else {
//Create numeric string values for 0123456789/
//The codes provided include both keyboard and keypad values
var strCheck = '47,48,49,50,51,52,53,54,55,56,57,58,59,95,96,97,98,99,100,101,102,103,104,105';
if (strCheck.indexOf(whichCode) != -1) {
if (isNav4) {
if (((vDateValue.length < 6 && dateCheck) || (vDateValue.length == 7 && dateCheck)) && (vDateValue.length >=1)) {
alert("Invalid Date\nPlease Re-Enter");
vDateName.value = "";
vDateName.focus();
vDateName.select();
return false;
}
if (vDateValue.length == 6 && dateCheck) {
var mDay = vDateName.value.substr(2,2);
var mMonth = vDateName.value.substr(0,2);
var mYear = vDateName.value.substr(4,4)
//Turn a two digit year into a 4 digit year
if (mYear.length == 2 && vYearType == 4) {
var mToday = new Date();
//If the year is greater than 30 years from now use 19, otherwise use 20
var checkYear = mToday.getFullYear() + 30; 
var mCheckYear = '20' + mYear;
if (mCheckYear >= checkYear)
mYear = '19' + mYear;
else
mYear = '20' + mYear;
}
var vDateValueCheck = mMonth+strSeperator+mDay+strSeperator+mYear;
if (!dateValid(vDateValueCheck)) {
alert("Invalid Date\nPlease Re-Enter");
vDateName.value = "";
vDateName.focus();
vDateName.select();
return false;
}
return true;
}
else {
// Reformat the date for validation and set date type to a 1
if (vDateValue.length >= 8  && dateCheck) {
if (vDateType == 1) // mmddyyyy
{
var mDay = vDateName.value.substr(2,2);
var mMonth = vDateName.value.substr(0,2);
var mYear = vDateName.value.substr(4,4)
vDateName.value = mMonth+strSeperator+mDay+strSeperator+mYear;
}
if (vDateType == 2) // yyyymmdd
{
var mYear = vDateName.value.substr(0,4)
var mMonth = vDateName.value.substr(4,2);
var mDay = vDateName.value.substr(6,2);
vDateName.value = mYear+strSeperator+mMonth+strSeperator+mDay;
}
if (vDateType == 3) // ddmmyyyy
{
var mMonth = vDateName.value.substr(2,2);
var mDay = vDateName.value.substr(0,2);
var mYear = vDateName.value.substr(4,4)
vDateName.value = mDay+strSeperator+mMonth+strSeperator+mYear;
}
//Create a temporary variable for storing the DateType and change
//the DateType to a 1 for validation.
var vDateTypeTemp = vDateType;
vDateType = 1;
var vDateValueCheck = mMonth+strSeperator+mDay+strSeperator+mYear;
if (!dateValid(vDateValueCheck)) {
alert("Invalid Date\nPlease Re-Enter");
vDateType = vDateTypeTemp;
vDateName.value = "";
vDateName.focus();
vDateName.select();
return false;
}
vDateType = vDateTypeTemp;
return true;
}
else {
if (((vDateValue.length < 8 && dateCheck) || (vDateValue.length == 9 && dateCheck)) && (vDateValue.length >=1)) {
alert("Invalid Date\nPlease Re-Enter");
vDateName.value = "";
vDateName.focus();
vDateName.select();
return false;
         }
      }
   }
}
else {
// Non isNav Check
if (((vDateValue.length < 8 && dateCheck) || (vDateValue.length == 9 && dateCheck)) && (vDateValue.length >=1)) {
alert("Invalid Date\nPlease Re-Enter");
vDateName.value = "";
vDateName.focus();
return true;
}
// Reformat date to format that can be validated. mm/dd/yyyy
if (vDateValue.length >= 8 && dateCheck) {
// Additional date formats can be entered here and parsed out to
// a valid date format that the validation routine will recognize.
if (vDateType == 1) // mm/dd/yyyy
{
var mMonth = vDateName.value.substr(0,2);
var mDay = vDateName.value.substr(3,2);
var mYear = vDateName.value.substr(6,4)
}
if (vDateType == 2) // yyyy/mm/dd
{
var mYear = vDateName.value.substr(0,4)
var mMonth = vDateName.value.substr(5,2);
var mDay = vDateName.value.substr(8,2);
}
if (vDateType == 3) // dd/mm/yyyy
{
var mDay = vDateName.value.substr(0,2);
var mMonth = vDateName.value.substr(3,2);
var mYear = vDateName.value.substr(6,4)
}
if (vYearLength == 4) {
if (mYear.length < 4) {
alert("Invalid Date\nPlease Re-Enter");
vDateName.value = "";
vDateName.focus();
return true;
   }
}
// Create temp. variable for storing the current vDateType
var vDateTypeTemp = vDateType;
// Change vDateType to a 1 for standard date format for validation
// Type will be changed back when validation is completed.
vDateType = 1;
// Store reformatted date to new variable for validation.
var vDateValueCheck = mMonth+strSeperator+mDay+strSeperator+mYear;
if (mYear.length == 2 && vYearType == 4 && dateCheck) {
//Turn a two digit year into a 4 digit year
var mToday = new Date();
//If the year is greater than 30 years from now use 19, otherwise use 20
var checkYear = mToday.getFullYear() + 30; 
var mCheckYear = '20' + mYear;
if (mCheckYear >= checkYear)
mYear = '19' + mYear;
else
mYear = '20' + mYear;
vDateValueCheck = mMonth+strSeperator+mDay+strSeperator+mYear;
// Store the new value back to the field.  This function will
// not work with date type of 2 since the year is entered first.
if (vDateTypeTemp == 1) // mm/dd/yyyy
vDateName.value = mMonth+strSeperator+mDay+strSeperator+mYear;
if (vDateTypeTemp == 3) // dd/mm/yyyy
vDateName.value = mDay+strSeperator+mMonth+strSeperator+mYear;
} 
if (!dateValid(vDateValueCheck)) {
alert("Invalid Date\nPlease Re-Enter");
vDateType = vDateTypeTemp;
vDateName.value = "";
vDateName.focus();
return true;
}
vDateType = vDateTypeTemp;
return true;
}
else {
if (vDateType == 1) {
if (vDateValue.length == 2) {
vDateName.value = vDateValue+strSeperator;
}
if (vDateValue.length == 5) {
vDateName.value = vDateValue+strSeperator;
   }
}
if (vDateType == 2) {
if (vDateValue.length == 4) {
vDateName.value = vDateValue+strSeperator;
}
if (vDateValue.length == 7) {
vDateName.value = vDateValue+strSeperator;
   }
} 
if (vDateType == 3) {
if (vDateValue.length == 2) {
vDateName.value = vDateValue+strSeperator;
}
if (vDateValue.length == 5) {
vDateName.value = vDateValue+strSeperator;
   }
}
return true;
   }
}
if (vDateValue.length == 10&& dateCheck) {
if (!dateValid(vDateName)) {
// Un-comment the next line of code for debugging the dateValid() function error messages
//alert(err);  
alert("Invalid Date\nPlease Re-Enter");
vDateName.focus();
vDateName.select();
   }
}
return false;
}
else {
// If the value is not in the string return the string minus the last
// key entered.
if (isNav4) {
vDateName.value = "";
vDateName.focus();
vDateName.select();
return false;
}
else
{
vDateName.value = vDateName.value.substr(0, (vDateValue.length-1));
return false;
         }
      }
   }
}

function dateValid(objName) {
var strDate;
var strDateArray;
var strDay;
var strMonth;
var strYear;
var intday;
var intMonth;
var intYear;
var booFound = false;
var datefield = objName;
var strSeparatorArray = new Array("-"," ","/",".");
var intElementNr;
// var err = 0;
var strMonthArray = new Array(12);
strMonthArray[0] = "Jan";
strMonthArray[1] = "Feb";
strMonthArray[2] = "Mar";
strMonthArray[3] = "Apr";
strMonthArray[4] = "May";
strMonthArray[5] = "Jun";
strMonthArray[6] = "Jul";
strMonthArray[7] = "Aug";
strMonthArray[8] = "Sep";
strMonthArray[9] = "Oct";
strMonthArray[10] = "Nov";
strMonthArray[11] = "Dec";
//strDate = datefield.value;
strDate = objName;
if (strDate.length < 1) {
return true;
}
for (intElementNr = 0; intElementNr < strSeparatorArray.length; intElementNr++) {
if (strDate.indexOf(strSeparatorArray[intElementNr]) != -1) {
strDateArray = strDate.split(strSeparatorArray[intElementNr]);
if (strDateArray.length != 3) {
err = 1;
return false;
}
else {
strDay = strDateArray[0];
strMonth = strDateArray[1];
strYear = strDateArray[2];
}
booFound = true;
   }
}
if (booFound == false) {
if (strDate.length>5) {
strDay = strDate.substr(0, 2);
strMonth = strDate.substr(2, 2);
strYear = strDate.substr(4);
   }
}
//Adjustment for short years entered
if (strYear.length == 2) {
strYear = '20' + strYear;
}
strTemp = strDay;
strDay = strMonth;
strMonth = strTemp;
intday = parseInt(strDay, 10);
if (isNaN(intday)) {
err = 2;
return false;
}
intMonth = parseInt(strMonth, 10);
if (isNaN(intMonth)) {
for (i = 0;i<12;i++) {
if (strMonth.toUpperCase() == strMonthArray[i].toUpperCase()) {
intMonth = i+1;
strMonth = strMonthArray[i];
i = 12;
   }
}
if (isNaN(intMonth)) {
err = 3;
return false;
   }
}
intYear = parseInt(strYear, 10);
if (isNaN(intYear)) {
err = 4;
return false;
}
if (intMonth>12 || intMonth<1) {
err = 5;
return false;
}
if ((intMonth == 1 || intMonth == 3 || intMonth == 5 || intMonth == 7 || intMonth == 8 || intMonth == 10 || intMonth == 12) && (intday > 31 || intday < 1)) {
err = 6;
return false;
}
if ((intMonth == 4 || intMonth == 6 || intMonth == 9 || intMonth == 11) && (intday > 30 || intday < 1)) {
err = 7;
return false;
}
if (intMonth == 2) {
if (intday < 1) {
err = 8;
return false;
}
if (LeapYear(intYear) == true) {
if (intday > 29) {
err = 9;
return false;
   }
}
else {
if (intday > 28) {
err = 10;
return false;
      }
   }
}
return true;
}

function LeapYear(intYear) {
	if (intYear % 100 == 0) {
		if (intYear % 400 == 0) {
			return true;
		}
	}
	else {
		if ((intYear % 4) == 0) { return true; }
	}
	return false;
}

function DatePosition(dateString,value) {
    var now = new Date();
    var today = new Date(now.getYear(),now.getMonth(),now.getDate());
    var century = parseInt(now.getYear()/100)*100;
		var date = new Date(dateString.substring(6,10),
                            dateString.substring(3,5)-1,
                            dateString.substring(0,2));

	if(value == 1) {
	  		if (Date.parse(date) > Date.parse(today)) {
		      alert('Date must be less than or equal to todays date.');
		      document.forms[0].dateofvisit.select();
		      document.forms[0].dateofvisit.focus();  
		    }
	}
}
<!----------------------------- End Date Validation Functions ----------------->

function remove_XS_whitespace(item)
{
 item.value = item.value.replace(/\r/g, " ");
  item.value = item.value.replace(/[^ A-Za-z0-9`~!@#\$%\^&\*\(\)-_=\+\\\|\]\[\}\{'";:\?\/\.>,<]/g, "");
  //item.value = item.value.replace(/'/g, "");
  item.value = item.value.replace(/ +/g, " ");  
  item.value = item.value.replace(/^\s/g, "");
  item.value = item.value.replace(/\s$/g, "");	
  if (item.value == ' '){item.value = ''};
}

function removeCharacters( strValue, strMatchPattern ) {
/************************************************
DESCRIPTION: Removes characters from a source string
  based upon matches of the supplied pattern.

PARAMETERS:
  strValue - source string containing number.

RETURNS: String modified with characters
  matching search pattern removed

USAGE:  strNoSpaces = removeCharacters( ' sfdf  dfd',
                                '\s*')
*************************************************/
 var objRegExp =  new RegExp( strMatchPattern, 'gi' );

 //replace passed pattern matches with blanks
  return strValue.replace(objRegExp,'');
}

function DatePosition(dateString,value) {
    var now = new Date();
    var today = new Date(now.getYear(),now.getMonth(),now.getDate());
    var century = parseInt(now.getYear()/100)*100;
		var date = new Date(dateString.substring(6,10),
                            dateString.substring(3,5)-1,
                            dateString.substring(0,2));

	if(value == 1)
	{
  if (Date.parse(date) > Date.parse(today))
	    {
	      alert('Visit date must be less than or equal to todays date.');
	      document.form.dateofvisit.select();
	      document.form.dateofvisit.focus();  
	    }
	}
	
	if(value == 2)
	{
  if (Date.parse(date) >= Date.parse(today))
	    {
	      alert('Birth Date must be less than todays date.');
	      document.form.txtDateOfBirth.select();
	      document.form.txtDateOfBirth.focus();  
	    }
	}
	
	if(value == 3)
	{
  if (Date.parse(date) < Date.parse(today))
	    {
	      alert('When Due date must be greater than or equal to todays date.');
	      return -1;	       
	    }
	}
}

//script to check that atleast one checkbox for reason for seekign assistance has been checked
function checkToggle (theForm,theCheckbox) {
    // Set target elements
    var theElements = document.forms[theForm].elements[theCheckbox];
   // Loop through the elements
   
   
   var check = 0;
    for (var count = 0; count < theElements.length; count++) 
    {
    	
         if(theElements[count].checked == true)
         {
         	check++;
         }
    }
    
    if(check >0)
    {
    	return true;
    }
    else
    {
    	return false;
    }
} 

function verify() {
	var themessage = "You are required to complete the following fields: \n";
	if (checkToggle('0','site') == false) {
		themessage = themessage + " - Site\n";
	}
	if (document.forms[0].comment.value=="") {
		themessage = themessage + " - Data to be corrected\n";
	}
	if (document.forms[0].reportername.value=="") {
		themessage = themessage + " - Reporting Person's Name\n";
	}
	if (themessage == "You are required to complete the following fields: \n") {
		document.forms[0].btnSave.disabled=true;
		document.forms[0].btnSave.value='Please wait...';
		document.forms[0].submit();
	}
	else {
		alert(themessage);
		return false;
	}
}

</script>

<h1>Contact ERS Administrators</h1><hr>
<p>All required fields are marked with by the <img src="images/required.gif" alt="required field" /> icon.</p>

<p>This page will contact the ERS administrators and notify them of the issue.</p>

<p>The ERS administrators will contact the reporter only if they require extra information.</p>

<?
if (isset($_GET['issuetype'])) {
	if ($_GET['issuetype'] == "correction") {
		echo "<p>Click here to create a send a <a href=\"?page=problem_add\">general enquiry or ERS issue</a></p>";
	}
}
else {
	echo "<p>Click here to create a send a <a href=\"?page=problem_add&issuetype=correction\">ERS correction</a></p>";
}
?>
<hr>
<form name="form" action="?page=submit_problem_add" method="post">
<table width="100%" cellpadding="5" cellspacing="0" border="0">
	<tr>
		<td width="30%" valign="top">
			Site: <img src="images/required.gif" alt="required field" />
		</td>
		<td width="70%" valign="top">
			<?
				//populateDropDownListBoxes("er_site",1);
				$query="SELECT * FROM er_site ORDER BY site_name" ;
				$results=r_db($query);
				while ($row=mysql_fetch_array($results))
				{
					echo "<label for=\"$row[1]\" style=\"padding-right:10px;\">$row[1]<input type=\"radio\" name=\"site\" value=\"$row[0]\" id=\"$row[1]\" onclick=\"document.forms[0].sitename.value=this.id\"/></label>";
				}
			?>
			<input type="hidden" name="sitename">
		</td>
	</tr>
	<tr>
		<td width="20%" valign="top">
			Date of visit:
		</td>
		<td width="80%" valign="top">
			<input type="text" name="dateofvisit" onKeyUp="DateFormat(this,this.value,event,false,'3')" onBlur="DateFormat(this,this.value,event,true,'3');DatePosition(this.value,1)" size="10" maxlength="10"> DD/MM/YYYY or empty
		</td>
	</tr>
	<tr>
		<td width="20%" valign="top">
			Surname of Client:
		</td>
		<td width="80%" valign="top">
			<input type="text" name="clientsurname" maxlength="50">
		</td>
	</tr>
		<tr>
		<td width="20%" valign="top">
			First name of Client:
		</td>
		<td width="80%" valign="top">
			<input type="text" name="clientfirstname" maxlength="50">
		</td>
	</tr>
		<tr>
		<td width="20%" valign="top">
			Client ID Type:
		</td>
		<td width="80%" valign="top">
		<?	
			echo "<select size=\"1\" name=\"clientidtype\">";
				//populateDropDownListBoxes("er_site",1);
				$query="SELECT * FROM `er_identification_type`";
				$results=r_db($query);
				while ($row=mysql_fetch_array($results))
				{
					echo "<option value=\"$row[0]\" id=\"$row[1]\" onclick=\"document.forms[0].clientidtypename.value=this.text\" />$row[1]</option>";
					if (!isset($firstIDType)) {
						$firstIDType = $row[1];
					}
				}
			echo "</select>";
		?>
		<input type="hidden" name="clientidtypename" value="<? echo $firstIDType; ?>" onchange="alert(this.value)">
		</td>
	</tr>
	<tr>
		<td width="20%" valign="top">
			Client ID Number:
		</td>
		<td width="80%" valign="top">
			<input type="text" name="clientidnumber" onChange="this.value=(removeCharacters(this.value,'[^a-zA-Z0-9]'));" maxlength="15">
		</td>
	</tr>
	<tr>
		<td width="20%" valign="top">
			Comment for Administrators: <img src="images/required.gif" alt="required field" /><br />
			<? echo $commentHelp; ?>
		</td>
		<td width="80%" valign="top">
			<textarea name="comment" style="width:100%; height: 200px;"><? echo $commentText; ?></textarea>
		</td>
	</tr>
	<tr>
		<td width="20%" valign="top">
			Reporting Person's Name: <img src="images/required.gif" alt="required field" />
		</td>
		<td width="80%" valign="top">
			<input type="text" name="reportername" maxlength="50">
		</td>
	</tr>
	<tr>
		<td width="20%" valign="top">
			Suitable contact time:
		</td>
		<td width="80%" valign="top">
			<input type="text" name="reportercontacttime" maxlength="20">
		</td>
	</tr>
	<tr>
		<td width="20%" valign="top">
			Contact Phone Number:
		</td>
		<td width="80%" valign="top">
			<input type="text" name="reporterphone" onChange="this.value=(removeCharacters(this.value,'[^a-zA-Z0-9]'));" maxlength="20">
		</td>
	</tr>
	<tr>
		<td width="20%" valign="top">&nbsp;
			
		</td>
		<td width="80%" valign="top">
			<input type="button" name="btnSave" value="Report Issue" onclick="verify();">
		</td>
	</tr>
</table>
</form>